Other information: Patient has a nephew with similar skin findings. His birth history was unremarkable with no prolonged labor or failure to progress and he had no history of undescended testes. Urology and ophthalmology exams were both within normal limits.

PHYSICAL EXAM:

On physical exam you can appreciate diffuse, adherent, plate-like brown scales on the trunk and extensor extremities with involvement of the neck as well as sparing of the palms and soles.